HomeMy WebLinkAboutWQ0031725_Annual Report_20130226February 26, 2013
NCDENR - DWQ
Aquifer Protection Section
Land Application Unit
2728 Capital Boulevard
Raleigh, NC 27604
RE: 2012 Annual Land Application Report
Permit No. W�Q003 725
Baxter Healthcare Corporation
McDowell County
Enclosed is the annual land application report for the calendar year 2012.
RECEIVE®
MA ®WN13
Asheville Regional Office
If you have any questions or require additional information, please contact Amanda Richcreek at
828.756.6809.
X
Andrea.Darsey
Plant Manager
Cc: NC Division of Water Quality (3 copies with enclosures)
WWTP File Copy
EHS File Copy
Baxter Healthcare Corporation
PO Box 1390, Marion, NC 28752
T 828.756.4151
RECEIVEDIDENEWO
FEB 2 8 2013
Aquifer Protection Section
�
' ^
BAXTER
HEALTHCARE
Baxter Healthcare Corporation
3Ol2Annual Report
Land Application Program
NCPermit No. VV[0O31725
Oat
...... . . . . . . . . . . . . . . . . . . . ...............
RECENEDIDEHRMWO
FEB 2 8 2013
Aqger protection Section
Q
Section 1 Form ACF
Annual Land
Application
Certification Form
RECEIVED/DENRIDWQ
FEB 2 8 2013
AgaiferProtection Section
ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0031725 County: McDowell Year:
Facility Name (as shown on permit): Baxter Healthcare
Land Application Operator: Southern Soil Builders, Inc. Phone:
2012
336-957-8909
Land application of residuals as allowed by the permit occurred during the past calendar yea>�E1VEDIDENRIDWQ
0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals
generated but not land applied, please attach an explanation on how the residuals were handled. FEB 2 g 2013
Part A - Residuals Application Summary:
Total number of application fields in thepermit:
W W
Total number of fields utilized for land application during the year:
5.
Total amount of dry tons applied during the year for all application sites:
143.01
Total number of acres utilizes for land application during the year:
39.79
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2012 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. R1 Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 401CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CM Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Quality.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part,C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
Ant,� w . iJ
Permittee Name and Title (type or print
��-�Pl3
Signature of Permittee Date
Signature of Preparer* Date Signature of Laid A,pplier Date
(if different from Permittee) (if different from Permittee and Preparer)
* n..............:.. .a�4—A ;-A 0 017D D—f W)l 0 (r) onA 1 SA ATC A(' 0')T 110') Ord) nFNR FORM AC F (17/gnnRi)
Section 2 Form RSSF
Annual Residual
Sampling Summary
Form
ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number:
Facility Name:
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Analvsis Data
WQ0031725
Baxter Healthcare
WQ0031725
Laboratory
1)
2)
3)
4)
5)
A&L Eastern Labs
Parameter
(mg/kg)
Cone.
Limit
m a
Sample or Composite Date
6-18-12
Percent Solids (%)
NA
14.84 '
Arsenic
75 -
13
Cadmium
85
4 ,
Copper
4,300
211 `
Chromium
NA
171
Lead
840
17 ,
Mercury
57
0.4
Molybdenum
75
7
Nickel
420
54
Selenium
100
1
Zinc
7,500
495
Total Phosphorus
NA
10500
TKN
NA
54900
Ammonia -Nitrogen
NA
4920
Nitrate and Nitrite
NA
23.6
For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer *
0 2- 24 - 0
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)
s
Section 3 Form MFLSF
Annual Metals Field
Loading Summary Form
For Sites — DP31 DP4.,
DP5,, DP6 & DP7
June 181 2012
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare Total Dry Tons Applied (Annual):
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
12.86 Acres. Permitted: 12.86 Site #: DP3 Field #:
49.88
FcB2
DP3
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
6/18/12
L2J
3
L4J
5 j6
7
8
9
10
11
12
% Solids
14.84
Arsenic
13
Cadmium
4
Copper
211
Chromium
171
Lead
17 tJ
Mercury
0.4
Molyb-
denum
7
Nickel
54
Selenium
1
Zinc
495
Total
Phos-
horus
;
10500
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
L2J
3 J
1415
6
7
8
L9J
10
Jill
12
DT/Ac./
o
App.
t�
Event
3.88
Arsenic
0.101
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.600
0.000
0.101
Cadmium 1
0.031
0.000
0.000 1
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.031
Copper
1.637
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.637
Chromium
1.327
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.327
Lead
0.132
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.132
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
0.054
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.054
denum
Nickel
0..419
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.419
Selenium
0.008
0.000
0.000
0.000 1
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.008
Zinc 1
3.840
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.060
0.000
3.840
Total
Phos-
81.459
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000'
F00
0.000
81.459
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
t/
ON
Sign ture of LA Applier
Date
nFNR FORM MR OF (1g/7n(1F)
ANNUAL METALS FIELD LOADING SUMMARY FORD[*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Baxter Healthcare
Total Dry Tons Applied (Annual): 22.68
WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 6.8 Acres Permitted: 6.8 Site #: DP4 Field #: DP4
Residual Analysis Data (Leavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
6/18/12
1 21
L3]4
5
6
7
L8J
9
10
11
12
% Solids
14.84
Arsenic
13
Cadmium
4
Copper
211
Chromium
171
Lead
17
Mercury
0.4
Molyb-
denum
7
Nickel
54
Selenium
1
Zinc
495
Total
Phos-
horus
;
10500
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
I 1 I
L2]3
4
5
61
7
8
1 91
10
11
12
DT/Ac./
/
o
App.
Event
3.34
"
Arsenic
0.087
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.087
Cadmium
0.027
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.027
Copper
1.407
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.407
Chromium1.141
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.141
Lead
0.113
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.113
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
0.047
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
denum
Nickel
0.360
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
1 0.360
Selenium
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.007
Zinc
3.302
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.302
Total
Phos-
70.035
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
70.035
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
a";- / /
Signature of LaId Applier
Date
-✓
a
V
DENR FORM MFLSF (1212006)
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 11.82 Acres Permitted: 11.82 Site #: DP5 Field #: DP5
Residual Analvsis Data (Heavv Metals and Total-Phnallhnrlle viva o/ c„I:a .. 'n 'n ____. u\_
39.35
FcB2
Sample
2
3
4
5
a
6
-- --O' --117
.
1 Vl
�"& rr).
orr66/18/12
7
8.
9
10
11
12Com-
posite
Date
% Solids
14.84
Arsenic
13
Cadmium
4
Copper
211
Chromiu
171
Lead
17
Mercury
0.4
Molyb-
denum
7
Nickel
54
Selenium
I
Zinc
495
Total
Phos-
10500
horus
Snnno]
Ton.... i%4_,&..1
V:_1A
T .._.]_-__
ir_�_..•
„
Total
L2J
L3]4
5 J
L6
7j
8
9
10
11
12
DT/Ac./'
y
App.
iv
Event
3.33
Arsenic
0.0877
0.000
0.000
0.000
0.000
0.0.00
0.000
0.000
0.000
1 0.000
0.000
0.000
0.087
Cadmium
0.027
0.000
0.000 1
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.027
Copper
1.405
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.405
Chromium
1.139
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.139
Lead
0.113
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.113
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb- .
denum
0.047
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
Nickel
0.360
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.360
Selenium
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.007
Zinc
3_296
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.296
Total
Phos-
69.909
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
69.909
horus
Tr•ar+ifv
n..�lo..
.,1+....F1..
aa._�..Lt
�_
-- r----_j ----"7 .- ..y. Aaa- Tv "a I„cYaacu uuuci lily ulFCC uun.or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties .for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
vz-_ ��
Si ature of Land Kpplier
Date
nGAlp [=n0KA KAM oc t4nrnnno�
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 3.97 Acres Permitted: 3.97 Site #: DP6 Field #:
17.24
FcB2
DP6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mP/kLY. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
6/18/12
L2J
3
4
5
6
L7J
L8 j9
10
ill
12
% Solids
14.84
Arsenic
13
Cadmium
4
Copper
211
Chromium
171
Lead
17
Mercury
0.4
Molyb-
denum
7
Nickel
54
Selenium
1
Zinc
495
Total
Phos-
horus
10500
tinnuai rneavy ivietai riew Eoaaino (t-;alculatea in ins/acre):
Total
1 11
L2J3
4
5
6]
L7J
L8J9
10
11
12
DT/Ac./
c
App.
Event
4.34
y
Arsenic
0.113
0.000
0.000 1
0.000
0.000
0.000
0.000
1 0.000
0.000
1 0:000
0.000
0.000
1 0.113
Cadmium
0.035
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.035
Copper
1.833
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
.0.000
0.000
1.833
Chromium
1.485
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.485
Lead
0.148
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.148
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
denum
enum
0.061
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.061
Nickel
0.469
0.000
0.000
0.000
0.000
0.060
0.000
0.000
0.000
0.000
0.000
0.000
0.469
Selenium
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Zinc
4.300
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000 1
4.300
Total
Phos-
91.203
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
91.203
horus
1 cer[iiy, under penalty of jaw, inat tms aocument was preparea unaer my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there. are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land A plier
Date
nF:NR FORM hAFI qv: 11?i?nnRv
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 3.34 Acres Permitted: 3.34 Site #: DP7 Field #:
13.86
FcB2
DP7
_ . _ _,____ "_4,. A4_i_l� -A Tn*.al Phnenharnc nse mu/ku_ °/a Solids use Raw Percent #):
1\U'a Uua1
Sample or
AuuaJo
.1
«
2
3
----
4
5
6
7j
8j
12
Com-
posite
Date
6/18/12
% Solids
14.84
Arsenic
13
Cadmium
4
Copper
211
Chromium
171
Lead
17
Mercury
0.4
Molyb-
denum
7
Nickel
54
Selenium
1
Zinc
495
Total
Phos-
10500
horus
riu--ua-
11V{1,J 1♦
v «a -va»
i.v»r_�a..
t-�----
6
7
8
9
10
11
12
Total
1
2
3
4
5
y
DT/Ac./
m
App.
Event
4.15
Arsenic
0.108
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.108
Cadmium
0.033
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.033
Copper
1 1.751
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.751
Chromiu
1.419
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.419
Lead
0.141
0.000
0.000
0.000
0.000.
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.141
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.003
Molyb-
0.058
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.058
denum
Nickel
0.448
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.448
Selenium
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.008
Zinc
4.109
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4.109
Total
Phos-
87.150
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
87.150
horus
_ _t
;n
nnnn rfl9
tl /`P
"I certify, under penalty oI law, inaL Lnls uucumum wa- p-pa-cu uuua.■ u.J -- . - »� -- • _ _ __ __ _____
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signat re of Land Applier
/-2a-13
Date
nFNR FnRM MFLSF (1212006)
Section 4 — Form FSF
Annual Land
Application Filed
Summary Form
For Sites — DP3, DP4,
DP5,, DP6 & DP7
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
'acility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP3 Acres Utilized: 12.86
Land Owner: Douglas Poplin Annual Dry Tons Applied: 49.8789 Site #: DP3 Acres Permitted: 12.86
Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Cron 1'Name: Fescue Crop 1 Max. PAN: _ 19,4 Crop 2 Name: Crop 2 Max. PAN:
O
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet ,
Moist)
Precip.
Past 24
Hrs.
inches
a
�,
t?
�.
. °o P
o
o
�'
*
]
4.
5
w `-°
]
TKN
mg/kg
z Y
F3
o P
M
C, R.
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
!012
27.57
14.84
0.268
WQ0031725
dry
0
s
0.5
0.3
54900 1
4920
23.6
9.366
NA
Fescue
!012
114.78
14.84
1.115
WQ0031725
dry
0
inc
1
0.3
54900
4920
23.6
44.480
NA
Fescue
2012
112.78
14.84
1.096
WQ0031725
dry
0
inc
1
0.3
54900
4920
23.6
43.705
NA
Fescue
2012
114.94
14.84
1.117
W00031725
dry
0
s
0.5
0.3
54900
4920
23.6
39.046 1
NA
Fescue
2012
29.03
14.84
0.282
WQ0031725
dry
0
s
0.5
0.3
54900
4920
23.6
9.862
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
rALs:
399.1
o
As
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
146.458
0.000
Lime A lied
inuallbs/acre
0.101
1.637
1.327
0.132
0.003
0.054
0.419
.008
3.840
81.459
Date
lbs/ac.or
Years Cumulative lbs/ac
0.031
rCd
0.786
0.426
0.081
0.002
0.027
0.0143
0.004
1.599
10-2012
2500
xrent Cumulative lbs/ac
0.132
2.423
1.753
0.213
0.005
0.081
0.433
0.012
5.439
rmitted C. P. L. R.****
36
1338
1 NA
1 267
15
NA
374
1 89
1 2498
rmit PAN Limit 1 st/2nd Crop
1 194
certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ialified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
formation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1 -a **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loadine Rate ,
DENR FORM FSF (12/2006)
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP4 Acres Utilized: 6.8
Land Owner: Douglas Poplin Annual Dry Tons Applied: 22.6761 Site #: DP4 Acres Permitted: 6.8
Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
y
1 0
l
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
/o
Solids
Volume
lied per
Applied p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wt ,
Moist)
Precip.
past 24
Hrs.
inches
a
oa w'_
]
o
X h
�,
* w'
w
* ;,'
w
0
TKN
mg/kg
Z a
o �
M O
7 R.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
•2012
'43.19
14.84
0.794
WQ0031725
dry
0
s
0.5 1
0.3
54900
4920
23.6
27.747
NA
Fescue
•2012
77.26
14.84
1.420
WQ0031725
dry
0
s
0.5
0.3
54900
4920
23.6
49.636
NA
Fescue
.2012
52.31
14.84
0.961
WQ0031725
dry
0
s
0.5
0.3
54900
4920
23.6
33.606
NA
Fescue
•2012
8.68
14.84
0.160
WQ0031725
dry
0
s
0.5
0.3
54900
4920
23.6
5.576
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
1
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
)TALS:
181.441
07
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
I Zn
P
116.5661
0.000
Lime Applied
nnuallbs/acre
0.087
0.027
1.407
1.141
0.113
0.003
0.047
0.360
0.007
3.302
70.035
Date
lbs/ac
-ior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
10-2012
2500
urrent Cumulative lbs/ac
0.087
0.027 Lkl.407
1 1.141
0.113
0.003
0.047
0.360
0.007
3.302
°rmitted C. P. L. R.****
36
34
1338
NA
267
15
NA
374
89
2498
=it PAN Limit Ist/2nd Crop
194
[ certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
[formation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loadinij Rate
DENR FORM FSF (12/2006)
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP5 Acres Utilized: 11.82
Land Owner: Douglas Poplin Annual Dry Tons Applied: 39.3457 Site #: DP5 Acres Permitted: 11.82
Operator: Douglas Poplin
Crop 1 Name:
Fescue
Predominant Soil Series: FcB2
Crop 1 Max. PAN:
194
Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Y
Volume applied
(enter one) Solids/
Liquid
9
Cu. Yds Gallons
%
Solids
Volume
Applied per
P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Wasteetc
, )
Soil
Cond.
(Dry,
Wet,
Moist)
precip,
Past 24
Hrs.
inches
v
K b
a
� �'
a w
* �
o
w
�,
�,
w
�,
0
�
w
cc w
w
TKN
mg/kg
Z
q
o El
w.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
-2012
166.05
14.84
1.756
WQ0031725
dry
0
s
0.5
1 0.3
54900
4920
23.6
61.372
1 NA
Fescue
-2012
148.77
14.84
1.573
WQ0031725
dry
0
s
0.5
0.3
54900
4920
23.6
54.985
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
)TALS:
314.821
01
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
116.357
0.000
Lime Applied
nnuallbs/acre
0.087
0.'027
1.405
1.139
0.113
0.003
0.047
0.360
0.007
3.296
69.909
Date
lbs/ac
-ior Years Cumulative lbs/ac
0.013
0.100
36
0.007
0.034
34
0.339
1.744
1338
0.0184
1.157
NA
0.035
0.148
267
0.001
0.004
15
0.012
0.059
NA
0.062
0.422
374
0.002
0.009
89
0.69
3.986
2498
10-2012
2500
urrent Cumulative lbs/ac
-rmitted C. P. L. R.****
;rmit PAN Limit Ist/2nd Crop_F
194
I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
formation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
) -)z-)3
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP6 Acres Utilized: 3.97
Land Owner: Douglas Poplin Annual Dry Tons Applied: 17.2433 Site #• DP6 Acres Permitted: 3.97
Operator: Douglas Poplin
Crop I Name:
Fescue
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194
Cation Exchange Capacity (non 503):
Crop 2 Name: Crop 2 Max. PAN:
v q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc )
Soil
Cond.
(Dry,
Wet
Moist)
Precip,
Past 24
Hrs.
inches
Y
K "o
CD
�
o ?'
a
* �
o
w
w �,
ro r
N
# a
0
z
w ,
CD p-
-
N
*
TKN
mg/kg
z Y
E9
o
°D O
R.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of CropType
yP
ReceivingResidua]
Application
Crop 1
Crop 2
Crop 1
Crop 2
-2012
137.97
14.84
4.343
WQ0031725
dry
0
s
0.5
0.3
54900
4920
23.6
151.8241
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
)TALS:
137.97
0
As
Cd
Cu.
Cr
Pb
H
Mo
Ni
Se
Zn
P
151.824
0.000
Lime A lied
nnuallbs/acre
0.113
0.035
1.833
1.485
0.148
0.003
0.061
0.469
0.009
4.300
91.203
Date
lbs/ac
-ior Years Cumulative lbs/ac
0.048
0.161 V
0.024
0.059
34
1.212
3.045
1338
0.657
2.142
NA
0.125
0.273
267
0.002
0.005
15
0.042
0.103
NA
0.0221
0.491
0.006
0.015
89
2.466
6.766
4
10-2012
2500
urrent Cumulative lbs/ac
°rmitted C. P. L. R.****
mnit PAN Limit Ist/2nd Crop
1 194
. certily, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
talified personnel properly gathered and evaluated the information submitted..I am aware that there are significant penalties for submitting false
formation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1- Z D- 0 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier
Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant LoadiniZ Rate
DENR FORM FSF (1212006)
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP7 Acres Utilized: 3.34
Land Owner: Douglas Poplin Annual Dry Tons Applied: 13.8551 Site #: DP7 Acres Permitted: 3.34
Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
°
°
Volume applied
PP
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #; WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
We
Moist)
Precip.
Past 24
Hrs.
inches
y
a b
co
F w
ao.
o
�;
* N'
w
� "
* N
*w
TKN
mg/kg
z
�o o
I
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
-2012
110.86
14.84
4.148
WQ0031725
dry
0
s
0.5
0.3
54900
4920
1 23.6
145.003
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
)TALS:
110.86
o
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
145.003
0.000
Lime Applied
nnuallbs/acre
0.108
0.033
1.750
1.419
0.141
0.003
0.058
7448
0.008
4.107
87.108
Date
lbs/ac
rior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
10-2012
2500
urrent Cumulative lbs/ac
0.108
0.033
1.750
1.419
0.141
0.003
0.058
0.448
0.008
4.107
ennitted C. P. L. R.****
36
34
1 1338
1 NA
267
15
NA
1 374
89
1 2498
,rmit PAN Limit 1st/2nd Crop
I F-194
1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
iformation, including the possibility of fines and imprisonment for knowing violations."
J *Application Method: S - Surface, -IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)
Section 5 Analytical
Results
Sample 1—
June 18, 2012
Page: 1 of 2
Report Number: 12-172-0203
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 88268
Sample Id: BAXTER
gRL A&L Eastern Laboratories, Inc.
7621 Whitepine Road Rkhniopd, Virginia 23237 (804) T43.8401 Fox (804) 271-6446
www.aleaatern.com
Project: BAXTER
NC# 257
REPORT OF ANALYSIS
Date Sampled: 6/18/2012 09:00:00
Date Received: 06/20/2012 00:00
Date Reported 07/03/2012
Total Solids "
14.84
148400
100.0
RD
06/20/2012 14:05
SM-2540G
Moisture *
85.16
100.0
RD
06/20/2012 14:05
SM-2540G
Total Kjeldahl Nitrogen
5.49
54900
10.0
JM
06/21/2012 07:45
SM-4500-NH3C-TKN
Total Phosphorus
1.05
10500 .
100
KM
07/02/2012 14:56
SW 6010C
Total Potassium
0.23
2310
100
KM
07/02/2012 14:56
SW 6010C
Total Sulfur
1.22
12200 -
100
KM
07/02/2012 14:56
SW 6010C
Total Calcium
1.05
10500
100
KM
07/02/2012 14:56
SW 6010C
Total Magnesium
0.32
3190
100
KM
07/02/2012 14:56
SW 6010C
Total Sodium
0.24
2420
100
KM
07/02/2012 14:56
SW 6010C
Total Iron
17000 ,
1
KM
07/02/2012 14:56
SW 6010C
Total Aluminum
11000
10
KM
07/02/2012 14:56
SW 6010C
Total Manganese
146
1
KM
07/02/2012 14:56
SW 6010C
Total Copper
211
1
KM
07/02/2012 14.56
SW 6010C
Total Zinc
495
1
KM
07/02/2012 14:56
SW 6010C
r
Ammonia Nitrogen
0.49
4920 r
10.0
JM
06/21/2012 07:45
SM-4500-NI3C
Organic N
5.00
49980 f
10.0
06/21/2012 07:45
CALCULATION
Nitrate+Nitrite-N
23.6 f
2.00
JM
06/21/2012 07:45
SM-450ONO3F
Total Cadmium
4.0
1.0
KM
07/02/2012 14:56
SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made , 6NA
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Debbie Holt
Page: 2 of 2
Report Number: 12-172-0203
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 88268
Sample Id: BAXTER
�L AFL Eastern Laboratories, In
to90
7621 Whttepine Road Richmond, Virginia 23237 (804) 7434MI Fax (804) 271.8446
www.aleastern.com
Project: BAXTER
NC# 257
REPORT" OF ANALYSIS
Date Sampled: 6/18/2012 09:00:00
Date Received: 06/20/2012 00:00
Date Reported: 07/03/2012
Total Chromium
171,
5
KM
07/02/2012 14:56.
SW 6010C
Total Nickel
54 -
5
KM
07/02/2012 14:56
SW 6010C
Total Lead
17
5
KM
07/02/2012 14:56
SW 6010C
Total Arsenic
13.0 r
1.0
KM
07/02/2012 14:56
SW 6010C
Total Mercury
<0.4
0.4
KM'
06/21/2012 09:00
SW-7471 B
Total Selenium
<1.0
1.0
KM
07/02/2012 14:56
SW 6010C
pH (Standard Units)
7.44
0.01
JM
06/21/2012 07:59
SW-9045D
Total Molybdenum
7
5
KM
07/02/2012 14:56
SW 6010C
:omments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Fe", "P", AND "S". ALL OTHER QC DATA IS ACCEPTABLE.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Dur reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Debbie Holt
Section 6 Calculations
PAN Calculations
SAR Calculations
C,
PAN.
Mineralization
-�
as decimal
Total dry
tons/year
Acres
Applied on
1 38.79
Rate
0.3
TKN
54900
NH3
1 4920
NO3
23.36
NO2
0
% Solids
0.1484
143.01
PAN Surface
17477.36 m /k
34.95472 lbs/dry ton
4998.875 Ibs total PAN
128.8702 Ibs PAN/acre
PAN Injection
19937.361mg/kg
39.87472 Ibs/d ton
5702.484 Ibs total PAN
147.0091 Ibs PAN/acre
Dry Tons/1000 gal.
0.618828
1st year PAN
Ibs./acre
Surface Ibs.
Surface
4998.8745071
1 128.8701858
1st year PAN
Ibs./acre
Injected Ibs.
Injected
5702.4837071
147.0091185
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8.34 X %solids'X sp. gravity
2000
"=dry tons/1000gal."
SAR
Sodium Absotption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L
359.128 1 1558.2 1 473.396
Na ME
Ca ME
M ME
15.61426
1 77.91
1 39.44967
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 2.038342, : (From Mg/L entered above)
SAR= 2.038308 (From ME entered below)
Na ME
Ca ME
Mg (ME)
15.614
1 77.91
139.449671
The amour
amount of E
Permitting
Section 7 Volatile
Solids
%Volatile Solids
Analytical Results
%Volatile Solids
Calculations
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 6/20/2012
Reported: 6/27/2012
For:
Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst
120620-20.1 % Volatile Solids Baxter 1 1.26 % SM2540G 6/22/12 CL
120620-20.2. % Volatile Solids Baxter 2 0.61 % SM2540G 6/22/12 CL
Respectfuily submitted,
Dena Myers
NC Cert #440,
'NCDW Cert #37755,
EPA N C 00909
P.O. Box 228 • Statesville, North Carolina 28687 9 704/872/4697
Client: Ns
I�
— —
STATE, SVILLE ANALYTICAL
122 Court Street • P.O. B-ox 228 Statesville, NC 28687
(704) 872-4697
Address:
11U
(o
Contact Person:�ci- Phone # 3�G o-S-)- -7j'l 1 FAX# �3 �5 g t]
Chain of
PC #
Requisitioned
by:
(Time Date)
Custody Record
Customer
Sample ID#
Lab -ID #
Time Sampled
Grab Only)
Date Sampled
(Grab Only)
.0
0
a
e
Matrix
Parameters requested for analysis
sludge
w
lulu
Relinquished by:
Received by:
Relinquished by:
Received by:
Composite Sampling
Time begin
Time end
Composite Sampling
Time begin
Time end
��
/ -
#1:
am, pm Date / /_
am, pm Date /_/
#2:
am, pm Date
am, pm Date / /
Time jLill)-aam, pm Date /,70/
Time am, pm Date _/_/_
Time am, pm Date _/ /
Time ;�. , pm Da" ).
Lab Comments:
Sampled by:
Transported by:
Holding times met:
Compliance work:
Non-compliance work:
Condition of Receipt
Sample ID 120620-20 Client Southern Soil Builders
Temp on Arrival 1
pH upon Arrival
Parameter Schedule % Volatile Solids
❑
HNO3
❑
HCl
❑
NaOH
❑
H2SO
❑
Na2S2O
❑
Dechlorinated
❑ Chemicals in containers, client
❑ Chemicals upon receipt
❑/ Received on Ice
❑ Samples chilled upon receipt
❑ Chemicals in containers, lab
Page 1 of 1
VS in 0.0126
VS out 0.0061
VSFR= 0.519039
Percent Volatile Solids Reduction
(0.0126-0.0061)%(.0126-(0.0126*0.6061))= 0.519
0.519 * 100 = 51.9% f�,
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 6/20/2012
Reported: 6/27/2012
For:
Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst
120620-19:1 % Volatile Solids Baxter C1 1.01 % SM2540G 6/22/12 CL
120620-19.2. % Volatile Solids Baxter C2 0.30 % SM2540G 6/22/12 CL
Respectfully submitted,
t
1 ^
�1
Dena Myers 0
NC Cert #440,
NCDW Cert #37755,
EPA N CO0909
N
P.O. Box 228 9 Statesville, North Carolina 28687 • 704/872/4697
Client: 7a�1«r�::)f1r
J 1 rG
- - -
STATESVILLE ANALYTICAL
]22 Court Street • P.O. Box 228
Statesville, NC 28687
Address: f , J ��
S / �Jo`� 4 f` t/'
01
�.
(704) 872-469-f
Contact Person: AeL I Phone # '7b- Qj -)- `? � 1
1
FAX# 3?(, `�r`7 4
Chain of
Custody Record
PO # Requisitioned by: (Time Date)
Customer
Sampler
Lab -ID #
Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
a
a
Matrix
Parameters requested for analysis
q y
Sludge
W
WW
c I
an-
6 - aU - i a-
tip, -5
Relinquished by:
Received by:
Relinquished by:
Received by:
y
Composite Sampling
Time begin
Time end
Composite Sampling
Time begin
Time end
L -
#1:
am, pm Date /_/ I
am, pm Date _/ /_
#2:
am, pm Date
am, pm Date //_
Time am, bkate / Sampled by: ;
Time am, pm Date _/_/ Transported
Time am, pm Date _/ Holding times /et-.
'D
Time J' `� am, p+r�atc
Compliance work: .
Non-compliance work:
Lab Comments:
Condition of Receipt
Sample ID 120620-19 Client Southern Soil Builders
Temp on Arrival 1
pH upon Arrival
Parameter Schedule % volatile Solids
❑
HNO3
❑
HCl
❑
NaOH
❑
H2SO
❑
Na2S2O
❑
Dechlorinated
❑ Chemicals in containers, client
❑ Chemicals upon receipt
0 Received on Ice
❑ Samples chilled upon receipt
❑ Chemicals in containers, lab
Page 1 of 1
N
VS in 0,0101
VS out 0.003
VSFR= 0.705086
Percent Volatile Solids Reduction
(0.0101-o.003)/(.0101-(0.0101*0.003))= 0.705
0,705*100 = 70.5%
Section 8 Analytical
Results
TCLP
Corrosivity
Ignitability
Reactivity
Solids
Fecal Coliform
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 5/30/2012
Reported: 6/14/2012
For: Baxter
Sample ID
Parameter
Cust ID
Result Units
Method
Date -Analyzed
Analyst
120530-15
Corrosivity
Baxter
See Attached
SW-846
6/12/12
PACE
120530-15
Ignitability
Baxter
See Attached
1010M
6/12/12
PACE
120530-15
Reactivity
Baxter
See Attached
SW-846
6/12/12
PACE
120530-15
TCLP
Baxter
See Attached
1311
6/12/12
PACE
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NC00909
P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697
Client:
�o%,
bA
rr
✓t� e,
. STATESVILLE ANALYTICAL .
122 Court Street • P.O. Box 228^
Address: qw -115
Statesville, NC 28687
(704) 872-4697 .
QU t ,, I ; J t� f�C �6 - ,
Contact Person:
` i,j�
F• �r ``
Phone # 33C_ ��7_ �g�
FAX# s 7 _ g�,�j
Chain of
Custody Record
PO # Requisitioned by: (Time Date)
Customer.
Sample IQ#
Lab -'ID #
Time Sampled
Grab Only)
( y)
Date Sampled
(Grab Only)
m
d
E
Matrix
Parameters requested for'analysis
Sludge
W
WW
r1ur S.
�T�ttr:'I .•
•s .
Relinquished by:
Time, �.
am,, m Date. /30/,
Sampled
by:
Received by:
Time >va Date J /7_,0/ �r
p ✓` Transported*b
.
Relinquished.by:
Time
am, pm
Date _/_/
✓'
Holding times m t:
Received by:
Time
am, pm
Date
t
Compliance work:
Cbmposi.te Sampling
#1:
Time begin
am, pm Date _//_
Non-compliance work:
Time end
am, pm Date _/_/_
Lab Comments:
Composite Sampling
#2:
Time begin
am, pm Date
Time end
am, pm Date _/_/_
i
aceAnaIXical
www.pacelabs.com
Project: 120530-15
Pace Project No.: 92119668
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: 120530-15 Lab ID: 92119668001 Collected: 05/30/12 13:15 Received: 05/31/12 13:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8081 GCS Pesticides, TCLP SPE
gamma-BHC (Lindane)
Chlordane (Technical)
Endrin
Heptachlor epoxide
Methoxychlor
Toxaphene
Surrogates
Decachlorobiphenyl (S)
Tetra chloro-m-xylene (S)
Analytical Method: EPA 8081 Preparation Method: EPA 3535
Leachate Method/Date: EPA 1311; 06/08/12 11:00
ND,ug/L
0.50
1
06/12/12 09:00
06/12/12 15:20
58-89-9
ND,ug/L
3.0
1
06/12/12 09:00
06/12/12 15:20
57-74-9
ND ug/L
0.50
1
06/12/12 09:00
06/12/12 15:20
72-20-8
NDzug/L
0.50
1
06/12/12 09:00
06/12/12 15:20
1024-57-3
ND ug/L
1000
1
06/12/12 09:00
06/12/12 15:20
72-43-5
ND ug/L
3.0
1
06/12/12 09:00
06/12/12 15:20
8001-35-2
60 %
10-138
1
06/12/12 09:00
06/12/12 15:20
2051-24-3
36 %
10-110
1
06/12/12 09:00
06/12/12 15:20
877-09-8
8151 Chlorinate Herbicide TCLP Analytical Method: EPA 8151
2,4-D
ND-mg/L 0.010 1
06/06/12 08:00
06/08/12 00:47
94-75-7
2,4,5-TP (Silvex)
ND/mg/L 0.010 1
06/06/12 08:00
06/08/12 00:47
93-72-1
Surrogate
2,4-DCAA (S)
84 % 70-130 1
, 06/06/12 08:00
06/08/12 00:47
19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA6010 Preparation Method: EPA3010
Leachate Method/Date: EPA 1311; 06/09/12 17:45
Arsenic
ND, mg/L 0.025 1
06/10/12 19:00
06/12/12 02:48
7440-38-2
Barium
ND mg/L 0.50 1
06/10/12 19:00
06/12/12 02:48
7440-39-3
Cadmium
ND/mg/L 0.0050 1
06/10/12 19:00
06/12/12 02:48
7440-43-9
Chromium
ND,mg/L 0.025 1
06/10/12 19:00
06/12/12 02:48
7440-47-3
Lead
ND ,mg/L 0.025 1
06/10/12 19:00
06/12/12 02:48
7439-92-1
Selenium
ND/mg/L 0.10 1
06/10/12 19:00
06/12/12 02:48
7782-49-2
Silver
ND,, mg/L 0.025 1
06/10/12 19:00
06/12/12 02:48
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 06/09/12 17:45
Mercury
Nl�,ug/L 0.20 1
06/11/1214:40
06/12/1212:39
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 06/08/12 11:00
1,4-Dichlorobenzene
ND-ug/L 50.0 1
06111/1208:50
06/11/12 18:28
106-46-7
2,4-Dinitrotoluene
NDrug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
121-14-2
Hexachloro-1,3-butadiene
ND'ug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
87-68-3
Hexachlorobenzene
ND'ug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
118-74-1
Hexachloroethane
ND' ug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
67-72-1
2-Methyl phenol (o-Cresol)
NDug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
95-48-7
3&4-Methylphenol(m&p Cresol)
ND' ug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
Nitrobenzene
ND- ug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
98-95-3
Pentachlorophenol
ND- ug/L 100 1
06/11/12 08:50
06/11/12 18:28
87-86-5
Pyridine,
ND'ug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
110-86-1
2,4,5-Trichlorophenol
ND' ug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
95-95-4
2,4,6-Trichlorophenol
NDrug/L 50.0 1
06/11/12 08:50
06/11/12 18:28
88-06-2
Date: 06/14/2012 09:49 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except
in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 19
aceAnalycical
/ www.pacelabs.com
i
Project: 120530-15
Pace Project No.: 92119668
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: 120530-15 Lab ID: 92119668001 Collected: 05/30/12 13:15 Received: 05/31/12 13:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8270 MSSV TCLP Sep Funnel
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
Terphenyl-d14 (S)
Phenol-d6 (S)
2-Fluorophenol (S)
2,4,6-Tribromophenol (S)
8260 MSV TCLP
Benzene
2-Butanone (MEK)
Carbon tetrachloride
Chlorobenzene
Chloroform',
1,4-Dichlorobenzene
1,2-Dichloroethane
1,1-Dichloroethene
Tetrachloroethene
Trichloroethene
Vinyl chloride
Surrogates
1,2-Dichloroethane-d4 (S)
Toluene-d8 (S)
4-Bromofluorobenzene (S)
Dibromofluoromethane (S)
1010 Flash point, Closed Cup
Flashpoint
734S Reactive Sulfide
Sulfide, Reactive
9045 pH Soil
pH at 25 Degrees C
733C Reactive Cyanide
Cyanide, Reactive
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 06/08/12 11:00
34 %
12-102
30 %
13-107
47 %
21-132
16 %
10-110
20 %
10-110
55 %
27-108
Analytical Method: EPA 8260
ND,-ug/L
5.0
ND''ug/L
10.0
ND,ug/L
5.0
ND-ug/L
5.0
NDr ug/L
5.0
ND ug/L
5.0
ND' ug/L
5.0
ND,,ug/L
5.0
ND/ug/L
5.0
ND,, ug/L
5.0
N Dlug/L
5.0
111 %
70-130
101 %
67-135
96 %
70-130
109 %
70-130
Analytical Method: EPA 1010
>200 deg F
70.0
Analytical Method: SW-846 7.3.4.2 Modified
ND, mg/L
10.0
Analytical Method: EPA 9045
6.3 Std. Units
0.10
Analytical Method: SW-846 7.3.3.2 Modified
ND mg/L 0.0050
1 06/11/12 08:50
06/11/12 18:28
4165-60-0
1 06/11/12 08:50
06/11/12 18:28
321-60-8
1 06/11/12 08:50
06/11/12 18:28
1718-51-0
1 06/11/12 08:50
06/11/12 18:28
13127-88-3
1 06/11/12 08:50
06/11/12 18:28
367-12-4
1 06/11/12 08:50
06/11/12 18:28
118-79-6
1 06106/1217:08
71-43-2
1 06/06/12 17:08
78-93-3
1 06/06/12 17:08
56-23-5
1 06/06/12 17:08
108-90-7
1 06/06/12 17:08
67-66-3
1 06/06/12 17:08
106-46-7
1 06/06/12 17:08
107-06-2
1 06/06/12 17:08
75-35-4
1 06/06/12 17:08
127-18-4
1 06/06/12 17:08
79-01-6
1 06/06/12 17:08
75-01-4
1 06/06/12 17:08
17060-07-0
1 06/06/12 17:08
2037-26-5
1 06/06/12 17:08
460-00-4
1 06/06/12 17:08
1868-53-7
1 06/11/12 19:30
1 06/06/12 10:30
1 06/01/12 15:00
1 06/06/12 19:36
H6
Date: 06/14/2012 09:49 AM REPORT OF LABORATORY ANALYSIS Page 5 of 19
This report shall not be reproduced, except in full,
without the_written consent of Pace Analytical Services, Inc..
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 3/29/2012
Reported: 4/2/2012
For: Baxter
Sample ID
Parameter Cust ID
Result Units
Method
Date Analyzed
Analyst
120329-14.1
% Solids B-1
12.4
%
SM2540B
3/29/12
CL
120329-14.1
Fecal Coliform MTF B-1
129,032
MPN/g
SM92210E
3/29/12
CL
120329-14.1
Geometric Mean B-li
112,508
MPN/g
dry wt. basis
4/2/12
CL
120329-14.2
% Solids B-2
13.0
%
SM2540B
3/29/12
CL
120329-14.2
Fecal Coliform MTF B-2
123,077
MPN/g
SM9221 CE
3/29/12
CL
120329-14.3
%Solids B-3
1 . p
%
SM2540B
3/29/12
CL
120329-14.3
Fecal Coliform MTF B-3
>131,148 1
MPN/g
SM92210E
3/29/12
CL
120329-14.4
% Solids B-4
.3 ---�
%
SM2540B
3/29/12
CL
120329-14.4
Fecal Coliform MTF B-4
44,248
MPN/g
SM9221 CE
3/29/12
CL
120329-14.5
% Solids B-5
12.2
%
SM2540B
3/29/12
CL
120329-14.5
Fecal Coliform MTF B-5
131,148
MPN/g
SM92210E
3/29/12
CL
120329-14.6
% Solids B-6
11.3
%
SM2540B
3/29/12
CL
120329-14.6
Fecal Coliform MTF B-6
51 1—,593
MPN/g
SM92210E
3/29/12
CL
120329-14.7
% Solids B-7
12.0
%
SM2540B
3/29/12
CL
120329-14.7
Fecal Coliform MTF B-7
>13 33 33 ,MPN/g
SM92210E
3/29/12
CL
Respectfully submitted,
, Vma.
al4r
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NC00909
P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697
Client:
o., hC � .50: �' I �+ p'> , �r
STATESVILLE ANALYTICAL
122 Court Street • P.O. Box 228 Statesville, NC 28687
(704) 872-469T
Address:
^v-`--
�0 CA
Contact Person:
Phone # y S.� �
FAX# 5.� ��
Chain of
Custody Record
PO # ,. Requisitioned by: (Time Date)
Customer.
Sample ID#
Lab -ID #
Time Sampled
(Grab Only)
Y)
Date Sampled
(Grab Only)
cu
a
E
o
Matrix
Parameters requested for analysis
Sludge
w
ww
r
2 ,l
r:0o
>(
-
�
x
Relinquished by:
R eeived by:.
Relinquished by:
Received by:
Garrlposite Sampling
Time begin
Time end
Composite Sampling
Time begin
Time end
2
#1:'
am, pm Date _/_/_
am, pm Date /_/
#2:
am, pm Date
am, pm Date _/_/
Time /r
Time : j'�
Time
Time
Lab Comments:
am,�ate /�`�'/ ��
am,�ate,�/2 �/ Z
am, pm Date / /
am, pm Date
Sampled by:
Trans ported P /W.
Holding times met:
Compliance work:
Non-compliance work:
Section 9 FORM PVRF
02T
Annual Pathogen and
Vector Attraction
Reduction Form
1.1 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Baxter Healthcare Corporation
WWTP Name: Baxter Healthcare Corporation
Monitoring Period: From 1/1/2012
WQ Permit Number:
NPDES Number:
To 12/31 /2012
WQ0031725
NC0006564
Pathogen Reduction (15A NCAC 02T .1106).- Please indicate level achieved and alternative performed:
Class A:
I Alt. A (time/temp) ❑
1 Alt B (Alk Treatment) ❑
Alt. C (Prior Testing) ❑
Alt.D (No Prior Test) ❑
I Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
..
Class B:
Alt. (1) Fecal Density p
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying ❑
I Composting ❑
jAerobic Digestion ❑
ae An robic Di estion
g
.......................................................................................................................... .
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
in
Pathogen Density
Number ot
Excee-
Frequency
of Analysis
Y
Sample
Type
Analytical
Tech -
njoue
Minim
Geo. Mean
Maximum
Unitsences
Fecal Coliform
'
2 x 10 to the
6th power
per gram of
total solids
MPN
44248
112508
141593
MPN/g
0
7
grab
sm9221 e
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) 0
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1.106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature of Prepar Date SigrVture of Land Applier (if applicable) Date.
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)
Section 10 Predictive
Soil Report
NCDA&CS Predictive
Soil Report for. samples:
DPIAI DPIBI DPICI DPID.,
DP2. DP3., DP4. DP5,'
DP6 & -DP7
NCDA&CS Agronomic Division Phone: (919) 733-2655
Website: www.ncagr.gov/agronomi/
Report No.
FY13-SL010322
Client:
Southern Soil Builders,
958 Hoots Rd
Inc.
Advisor:
Predictive
Roaring River, NC
28669
'; :%" �;•r/I Soil ReportMehlich-3 Extraction
'
.
County:
Wilkes
r
Links to Helpful Information
x yr Sampled: Received: 10/18/2012
Completed: 10/26/2012
Farm:
Sample ID: DPIA
Lime
Nutrients (lb/acre)
More
(tons/acre)
N P2O5
K2O
Mg S
Mn Zn
Cu B
Information
Lime History:
7ecommendations:.
G/Tim,M 1.0
120-200 80
0
0 0
0 0
0 0
Note: 12
$PH
Test Results [units - WN in g/cd; CEC and Na in meq/100 cn�; NO3-N in mg/dnr ]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%. S-1
Mn-I
Mn-All Mn-AI2
Zn-I Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.22 0.85 5.8 73 1.6 (i 25 126
46 16 172
761
473
178 177
175 0.2 672
Sample ID: DPIB
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn Zn
Cu B
Information
Lime History:
1-Fes/OG/Tim,M 0.0
120-200 0
0
0 0
0 0
0 0
Note: 12
2 -
$pH
Test Results [units - WN in gled; CEC and Na in meq/100 crrr ; NO3-N in mg/drn3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2
Zn-I Zn-AI
Cu-I Na ESP SS -I NO3-N
0.51 0.88 15.4 91 1.4 6.3 335 241
56 27 62
178
120
524 524
1023 0.2
1
Sample ID: DPIC
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn Zn
Cu B
Information
Lime History:
1-Fes/OG/Tim,M 0.8
120-200 0
0
0 0
0 0
0 0
Note: 12
2 -
$PH
Test Results [units - WN in g/cnt ; CEC and Na in meq/100 cn�; NO3-N in mg/dd]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2
Zn-I Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.76 0.87 13.4 83 2.3 45?70 288 144
60 17 43
151
108
700 700
1184 0.2
1
(North Carolina
l
k+I+.rciv inni Fr:rr.l Ccr:un.•..r..n
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture
NCDA&CS Agronomic Division Phone: (919) 733-2655
Website: www.ncagr.gov/agronomi/
Report No.
FY13-SL010322
Southern Soil Buil ers, Inc. ], t, J�;p�o`��5
Dl trl
�,�
Page 2 of 4
Sample ID: DPID
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Fes/OG/Tim,M 0.3
120-200 0
0
0
0
0
0
0 0
Note: 12
2-
$pH
Test Results [units - WN in g/crap; CEC. and Na in meg1100 crrr3; NO3-N in mg/da]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-1
Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.71 0.89 14.0 87 1.8 *S9_.,' 229 150
56 25
48
129
94
775
775
877 0.2
1
Sample ID: DP2
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Corn,Silage 0.0
180-220 0
30
0
0
0
.0
0 0
Note: 3
1.00 tons/acre; 3/2012
2-
$pH .
Test Results [units - W/V in g/cd; CEC and Na in meq/100 crrr3; NO3-N in mg/drrP]:
Soil Class:
Mineral
HM% WN- CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.36 0.96 10.8 87 1.4 6.1 171 89
55 28
74
108
80
853
853
772 0.1
1
Sample ID: DP3
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 - Fes/OG/Tim,M 1.1
120-200 40
60
0
0
0
0
0 0
Note: 12
2-
$pH
Test Results [units - WN in g/carp; CEC and Na in meq/100 crrr3; NO3-N in mg/drrt ]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.41 0.91 6.6 70 2.0 ' 43 39
46 21
51
98
76
266
266
370 0.1
2
Sample ID: DP4
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Fes/OG/Tim,M 0.0
120-200 0
30
0
0
0
0
0 0
Note: 12
1.00 tons/acre; 8/2012
2-
$pH
Test Results [units - WN in g/ca; CEC and Na in meq/100 cd; NO3-N in mg/da]:
Soil Class:
Mineral
HM% W/V CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-1 Na ESP SS-1 NO3-N
1.14 0.87 10.9 81 2.0 -5-6,; 125 55
55 24
53
163
115
695
695
569 0.1
1
Y t�
NCDA&CS Agronomic Division Phone: (919) 73.3-2655
Website: www.ncagr.gov/agroriomi/
Report No.
FY13-SL010322
Southern Soil Builders, Inc.
Page 3 of 4
Sample ID: DP5
Recommendations: Lime
Nutrients (Ib/acre)
More
Crop (tons/acre)
N P2O6
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Fes/OG/Tim,M 0.0
120-200 0
20
0
0
0
0
0 0
Note: 12
1.00 tons/acre; 8/2012
2-
$pH
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cmR; NOs-N in mg/drrP]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH A. P-I K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.97 0.85 12.0 84 1.9 —?� 132 67
59 23
57
122
90
980
980
810 0.2
2
Sample ID: DP6
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Fes/OG/Tim,M 0.9
120-200 0
80
0
0
0
0
0 0
Note: 12
2-
$pH
Test Results [units - WN in g/cd; CEC and Na in meq/100 crrr3; NO3-N in mg/dd]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
�P-1
0.60 0.98 7.9 76 1.9 :5 5—_V� 70 30
56 18
47
62
54
416
416
734 0.2
3
Sample ID: DP7
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Fes/OG/Tim,M 1.1
120-200 0
0
0
0
0
0
0 0
Note: 12
2--
$pH
Test Results [units - WN in g/crap; CEC and Na in meq/100 cn-P; NO3-N in mg/drrt3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH & v P-1 K-1
Ca% Mg%
S-1
Mn-1
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.60 0.93 9.7 80 1.95 2=a1 194 156
57 15
66
111
84
393
393
832 0.2
2
NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/
Report No. FY13-SLO10322
Southern Soil Builders, Inc.
Page 4 of 4
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at
Ca%
% CEC occupied by calcium
one time, even if the report recommends more. You can apply the rest in similar increments every six months until the
CEC
cation exchange capacity
full rate is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index .
ESP
exchangeable sodium percent
Fertilizer
HM%o
percent humic matter
Recommendations for field crops or other large areas are listed separately.for each nutrient to be added (in units of
K4
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-I and P-1 values are based on, test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn.
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Mn-I
manganese index
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or'Z
M-0
,mineral -organic soil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do ,not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit .
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncagr.govla4ronomilobAart4.htm#fs to find information
P-1
phosphorus index
that may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P20s
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
W/V
weight per volume
The first seven values [soil class, HM%o, WN, CEC, BS%o, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-1, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not
Zn-I
zinc index
routinely available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr govlagronomiluyrst.htm
for more information.